Pain Under Right Rib Cage: Causes, Symptoms, and Treatment

Pain under right rib cage usually points to a problem involving the liver, gallbladder, lungs, kidney, digestive tract, or the muscles and ribs themselves. This pain can feel dull, tight, sharp, burning, or stabbing.

If you have pain under right rib cage, it may be linked to gallbladder disease, liver swelling, trapped gas in the colon, or muscle strain. In fewer cases, it signals infection, inflammation, or organ damage that needs urgent care. When pain under right rib cage appears after meals, worsens with breathing, or keeps returning, you should not ignore it.

15 Common Causes Of Pain Under Right Rib Cage

Pain under right rib cage can start from organs, muscles, nerves, or trapped air. Gallbladder and liver causes dominate medical diagnoses, while muscle strain and gas explain many harmless cases. Pattern, triggers, and associated symptoms decide seriousness.

Gallstones

Gallstones are hardened bile crystals that form in the gallbladder. The gallbladder sits just under your liver on the right side. When it squeezes to release bile, a stone can block the duct. This causes intense pain under the right rib cage that builds fast and may last several hours. This pain often follows fatty meals and may spread to the right shoulder or back. Nausea and vomiting are common. Fever is not normal and may signal infection.

Gallbladder Inflammation (Cholecystitis)

Cholecystitis means gallbladder swelling, usually from a blocked stone. Unlike a short gallstone attack, this pain stays constant and severe. You feel steady pain under right rib cage that worsens when you take a deep breath; fever and raised white blood cells often appear. This condition needs medical care because an untreated infection can damage the gallbladder.

Liver Inflammation (Hepatitis)

Hepatitis means liver inflammation. Viral hepatitis, alcohol-related injury, and drug reactions are common causes. The liver itself has no pain nerves, but its outer capsule stretches when swollen. This creates a deep, dull pain under right rib cage . Fatigue, dark urine, pale stools, and yellowing of the eyes often appear with liver inflammation. Sharp pain is uncommon.

Fatty Liver Disease

Fatty liver disease happens when fat builds up inside liver cells. Early stages cause no symptoms. As swelling increases, you may feel pressure or fullness under the right ribs. This pain under right rib cage often feels vague rather than sharp. Insulin resistance and obesity are major risk factors. Alcohol is not always involved.

Liver Abscess

A liver abscess is a pocket of infection filled with pus. It is uncommon but serious. You may feel steady pain under right rib cage along with fever, chills, weight loss, and night sweats. Delayed treatment raises the risk of rupture. Imaging tests confirm the diagnosis.

Rib Muscle Strain

Muscle strain around the ribs is a frequent non-organ cause. Heavy lifting, twisting, coughing, or sudden movement can tear muscle fibers. The pain stays near the surface and worsens with motion. This pain under right rib cage improves with rest and gentle stretching. There are no digestive symptoms.

Rib Fracture Or Bruising

A cracked or bruised rib causes localized pain that increases with breathing, coughing, or pressing the area. Trauma from falls or accidents is the usual cause. Unlike organ pain, this pain under right rib cage stays in one spot and feels sharp.

Intercostal Muscle Pain

Intercostal muscles sit between the ribs and help you breathe. Overuse or nerve irritation causes stabbing pain that worsens with deep breaths or twisting. You may feel sharp pain under right rib cage when coughing or laughing. This pain is mechanical, not digestive.

Costochondritis

Costochondritis is inflammation of rib cartilage near the breastbone. While it often affects the front chest, pain can spread to the right rib area. Pressing the spot reproduces pain. It does not cause fever or digestive symptoms. This is a common reason for sharp pain under right rib cage in younger adults.

Gas And Bloating

Gas trapped in the colon can cause intense discomfort. The hepatic flexure, a bend in the colon near the liver, sits under the right ribs. Gas buildup here causes cramping pain under right rib cage that shifts location. Relief often comes after passing gas or having a bowel movement.

Acid Reflux (GERD)

Acid reflux allows stomach acid to move upward into the esophagus. While heartburn is typical, some people feel burning pain under right rib cage , especially after large meals. Lying down worsens symptoms; obesity and late-night eating increase risk.

Peptic Ulcer Disease

Ulcers are open sores in the stomach or upper intestine. Pain may feel burning or gnawing. Some ulcers cause pain under right rib cage , especially if the duodenum (first part of the intestine) is involved. Hunger or nighttime may worsen pain.

Kidney Stones

Right kidney stones cause pain that often starts in the back and moves forward under the ribs. This pain under right rib cage is severe, wave-like, and may come with blood in urine. Nausea is common.

Lung Conditions (Pleurisy, Pneumonia)

Inflammation of the lung lining causes pain with breathing. Pneumonia can irritate nearby tissues, causing sharp pain under right rib cage when you inhale. Fever, cough, and shortness of breath usually appear.

Shingles (Before Rash Appears)

Shingles begins with nerve pain before a rash appears. This pain stays on one side and may feel burning or stabbing under the ribs. Doctors often mistake early shingles pain under right rib cage for gallbladder or muscle issues.

Pain Under Right Rib Cage After Eating

When pain under right rib cage after eating appears, digestion is usually involved. Fat intake, stomach acid levels, and gallbladder contraction play key roles. Repeated post-meal pain strongly points toward gallbladder or upper digestive disorders.

Gallstones Triggered By Fatty Meals

Fat signals the gallbladder to contract. If stones block bile flow, intense pain under right rib cage after eating develops within an hour. This pain often peaks quickly and lasts several hours. Repeated attacks raise the risk of inflammation.

Gallbladder Dysfunction

Some people have gallbladder pain without stones. This condition involves poor gallbladder emptying. You feel repeated pain under right rib cage after eating , bloating, and nausea. Ultrasound may appear normal, which delays diagnosis.

Acid Reflux After Large Meals

Large meals stretch the stomach. Acid pressure increases. This leads to burning pain under right rib cage after eating , especially when bending or lying down. Symptoms often improve with smaller meals.

Gastritis Or Peptic Ulcers

Stomach lining inflammation reacts to food. Pain may worsen or improve after meals, depending on ulcer location. Persistent pain under right rib cage after eating with nausea or black stools needs evaluation.

Gas Trapped In The Colon

Eating produces gas during digestion. When gas collects near the liver bend of the colon, pain under right rib cage after eating feels tight and crampy. Movement and passing gas bring relief.

Liver Pain Under Right Rib Cage

Liver pain under right rib cage happens when the liver swells and stretches its outer capsule. Liver conditions rarely cause sharp pain. Instead, pressure, fullness, fatigue, and appetite loss appear as early clues before lab changes show up.

Hepatitis (Viral, Alcoholic, Drug-Induced)

Swollen liver tissue presses against surrounding structures. You feel deep liver pain under right rib cage along with fatigue and appetite loss. Pain alone does not reflect disease severity.

Fatty Liver Disease

As fat buildup increases, the liver enlarges. This causes pressure-like liver pain under right rib cage . Many people miss the early signs until blood tests show abnormal enzymes.

Liver Enlargement

Many liver conditions cause enlargement. The rib cage restricts space, leading to discomfort when bending or lying on the right side.

Liver Abscess Or Infection

Infections cause severe liver pain under right rib cage , fever, and chills. Imaging confirms diagnosis. Delay raises the risk of rupture.

Signs Liver Pain May Be Serious

Yellow skin, confusion, easy bruising, and swelling signal liver failure. Liver pain under right rib cage with these signs needs urgent care.

Gas Pain Under Right Rib Cage

Gas pain under right rib cage comes from trapped air in the hepatic flexure of the colon. This pain often shifts location, feels crampy or tight, and improves with movement or bowel release. It rarely causes fever or vomiting.

Gas Accumulation In The Hepatic Flexure

The hepatic flexure traps air easily. This causes sudden gas pain under right rib cage that may feel sharp but shifts location.

Bloating And Digestive Sluggishness

Slow digestion increases gas production. Tight waistbands worsen discomfort. This gas pain under right rib cage eases with movement.

Constipation-Related Pressure

Stool buildup increases gas pressure. Pain improves after bowel movements.

Food Intolerances

Lactose and certain sugars cause excess gas. Repeated gas pain under right rib cage after meals suggests intolerance.

How To Tell Gas Pain From Organ Pain

Gas pain moves and improves with passing gas. Organ pain stays fixed and worsens over time. Gas pain under right rib cage rarely causes fever or vomiting.

Pain Under Right Rib Cage Diagnosed?

Finding the cause of pain under right rib cage requires matching your symptoms with exam findings and test results. Doctors do not rely on one test alone. They combine physical signs, lab data, and imaging to avoid missed diagnoses. This stepwise approach reduces unnecessary scans and catches serious disease early.

Physical Examination

During the exam, the doctor checks where the pain sits, how deep it feels, and what makes it worse. Tenderness with pressing often points to muscle or rib causes. Pain that worsens when you breathe in may suggest lung or gallbladder irritation. Guarding, where your body tightens to protect the area, raises concern for inflammation or infection linked to pain under right rib cage .

Blood Tests (Liver Enzymes, Infection Markers)

Blood tests help detect hidden organ stress. Elevated liver enzymes suggest liver inflammation or blockage. High white blood cell counts indicate infection. Normal blood tests do not always rule out gallbladder disease, which explains why imaging still matters when pain under right rib cage persists.

Ultrasound Of Gallbladder And Liver

Ultrasound is often the first imaging test. It detects gallstones, bile duct widening, liver enlargement, and fatty liver changes. It is safe and does not use radiation. For pain under right rib cage after eating , ultrasound remains the most useful early test.

CT Scan Or MRI

CT scans and MRI give detailed views when ultrasound results are unclear. They show abscesses, tumors, kidney stones, and bowel issues. MRI offers better detail for liver tissue when liver pain under right rib cage remains unexplained.

Chest Imaging For Lung Causes

Chest X-rays or CT scans help when pain worsens with breathing. Pneumonia, fluid buildup, or pleurisy may cause sharp pain under right rib cage that mimics abdominal problems.

When Pain Under Right Rib Cage Is An Emergency

Some patterns of pain under right rib cage signal immediate danger. Delaying care in these cases increases the risk of organ damage or infection spread. Emergency teams focus on ruling out life-threatening causes first.

Severe Sudden Pain With Fever

Sudden severe pain plus fever often points to infection. Gallbladder infection, liver abscess, or pneumonia can present this way. Fever with abdominal pain strongly predicts serious illness that needs urgent treatment.

Persistent Vomiting

Ongoing vomiting causes dehydration and electrolyte imbalance. When paired with pain under right rib cage , it raises concern for gallbladder blockage or kidney stones. Doctors treat this as urgent because fluids and monitoring are needed.

Yellow Eyes Or Skin

Yellowing of the eyes or skin means bilirubin buildup in the blood. This often comes from bile duct blockage or liver failure. Liver pain under right rib cage with jaundice requires emergency evaluation.

Chest Pain Or Breathing Difficulty

Pain with shortness of breath may involve the lungs or heart. Right-sided pneumonia or blood clots can cause sharp pain under right rib cage that worsens with breathing. These conditions need rapid imaging and treatment.

Pain After Injury Or Accident

Blunt trauma can injure the liver or ribs. Internal bleeding may not show immediately. Any pain under right rib cage after a fall or crash needs prompt medical assessment.

When To See A Doctor

Not all pain is an emergency, but patterns matter. Repeated or worsening pain under right rib cage should never be ignored, even if it feels mild.

Pain Lasting More Than A Few Days

Short-term muscle pain often improves within days. Pain that lasts longer may reflect gallbladder disease, ulcers, or liver issues. Early evaluation helps prevent complications.

Worsening Or Recurrent Pain

Pain that comes back repeatedly suggests an ongoing trigger. Gallstones, gas pain under right rib cage , and acid reflux often follow patterns. Tracking timing and triggers helps doctors narrow the cause.

Pain After Eating That Keeps Returning

Repeated pain under right rib cage after eating , especially after fatty meals, strongly suggests gallbladder problems. Delayed care increases the risk of infection or surgery.

Pain With Digestive Or Urinary Symptoms

Nausea, dark urine, pale stools, or blood in urine point toward organ involvement. These signs, combined with pain under right rib cage need testing rather than watchful waiting.

FAQs

What Organ Causes Pain Under The Right Rib Cage?

Several organs sit under the right ribs. The gallbladder and liver cause most cases of pain under right rib cage , while lungs, kidneys, and colon also contribute depending on symptoms and triggers.

Is Gallbladder Pain Always After Eating?

Gallbladder pain often follows meals, especially fatty foods, but not always. Some people feel pain under right rib cage during fasting or at night due to ongoing inflammation.

Can Gas Cause Sharp Pain Under Right Ribs?

Yes. Trapped gas in the hepatic flexure can cause sharp pain under right rib cage that shifts location. This pain often improves after passing gas or moving around.

How Do I Know If The Pain Is From My Liver?

Liver pain under right rib cage usually feels dull and constant rather than sharp. Fatigue, nausea, dark urine, and yellow eyes raise suspicion of liver involvement.

Can Fatty Liver Cause Rib Cage Pain?

Yes. Fatty liver disease can enlarge the liver and stretch its capsule. This creates pressure-like liver pain under right rib cage , especially when bending or lying on the right side.

Is Right Rib Pain Related To Heart Problems?

Heart pain usually sits in the center or left chest. Right-sided pain linked to breathing or movement more often reflects lung, muscle, or gallbladder causes than heart disease.

Can Kidney Stones Cause Pain Under Right Ribs?

Right kidney stones can cause severe pain that starts in the back and moves forward under the ribs. This pain under right rib cage often comes in waves and may include blood in urine.

How Long Does Gas Pain Under Ribs Last?

Gas pain under right rib cage usually lasts minutes to hours. It improves with passing gas or bowel movements. Pain lasting days suggests another cause.

Should I Worry About Sharp Pain When Breathing?

Yes. Sharp pain under right rib cage that worsens with breathing may involve the lungs, ribs, or pleura. Fever or shortness of breath increases urgency.

When Should I Go To The ER For Right Rib Pain?

Go to the ER if pain under right rib cage is severe, sudden, or paired with fever, vomiting, jaundice, breathing trouble, or recent injury. These signs need urgent care.